Your Imperialist Highness, IDS legislators, I draw your attention to this:
The area of concern is primarily clause 3 of Section 1, Part 1 of the Reforming Atlasian Public Health Act of 2014. You have to decide whether or not to allow other providers to compete with ANHC.
What happens if you do nothing?ANHC will have a monopoly on providing care in the region and no competitors will be allowed on the exchange until you decide to allow them.
What options for competition are there?Aside from the traditional for profit insurance models, there is also a wide variety of non-profit and cooperative based options and possibly even a regional level public option as well. There may be other options as well and as long as you comply with the other requirements in the act and other Federal law, you have a wide range of flexibility.
Can Single Payer be obtained with this?Yes, if you insist.
Just refuse to allow any competitors and pay for the difference between the subsidized amount and 100% of the cost of the ANHC plan for the upper middle and rich, to effectively give you free at the point of use healthcare for all in the region.
I cut out the rest of the bill so that you can zone in on the primary area of responsbility, you are probably going to need to read the rest though. If you have any questions please contact myself or shua. Some of the parts that shua was responsble for, like CIEP at the bottom of the text, or the subsidy formula, he is better at explaining then I am.